Nicida Lucia Regina de Azevedo, Teixeira Luiz Antônio da Silva, Rodrigues Andreza Pereira, Bonan Claudia
Instituto Fernandes Figueira, Fundação Oswaldo Cruz. Av. Rui Barbosa 716, Flamengo. 22250-020 Rio de Janeiro RJ Brasil.
Escola de Enfermagem Anna Nery, Universidade Federal do Rio de Janeiro. Rio de Janeiro RJ Brasil.
Cien Saude Colet. 2020 Nov;25(11):4531-4546. doi: 10.1590/1413-812320202511.00752019. Epub 2019 Jan 30.
This study analyzes the meanings attributed to the concept of the medicalization of childbirth from a narrative review of the literature in national journals published between 2000 and 2017. It is based on the more general concept of medicalization - understood as the process by which medicine broadens and consolidates its area of activity in the various sectors of society - and the different formulations of the concept conceived by twentieth-century scholars. Five categories were created that related the medicalization of childbirth with interventions, professional dispute, violation of the rights of pregnant women, the birth scenario, and the impact of the medicalization of society. In the first four categories there is a predominance of meanings that explore the interface between medicalization and humanization, considered two analytical super categories, with a predominance of a critique of the medicalized model. Setting aside this analysis model, the medicalization of childbirth category as a reflection of the medicalization of society focuses on a sense of medicalization of childbirth as part of a broader process involving different actors who are part of the care process, pointing to a possibility of more in-depth analysis in which it considers the complex connection between modern health and society.
本研究通过对2000年至2017年间在国内期刊上发表的文献进行叙述性综述,分析了分娩医学化概念所具有的意义。它基于医学化这一更为宽泛的概念——被理解为医学在社会各个领域拓展并巩固其活动范围的过程——以及20世纪学者们对该概念的不同表述。创建了五个类别,将分娩医学化与干预措施、专业争议、侵犯孕妇权利、分娩场景以及社会医学化的影响联系起来。在前四个类别中,主要是探讨医学化与人性化之间界面的意义,这两者被视为两个分析性的超级类别,其中对医学化模式的批判占主导地位。撇开这种分析模式不谈,分娩医学化类别作为社会医学化的一种反映,侧重于将分娩医学化视为一个涉及护理过程中不同行为者的更广泛过程的一部分,这表明有可能进行更深入的分析,其中考虑现代健康与社会之间的复杂联系。